Evaluation of Clinical Outcomes of Management of Paediatric Bone Forearm Fractures using Titanium Elastic Nailing System: A Prospective Study of 30 CasesOriginal Research ArticleGMCP. J. Research and Med. Edu. 2021; 21(2)30

Introduction:Forearm fractures are very common in paediatric population with incidence around 1 in 100.1 The incidence of fractures shaft forearm bones is more common in 6-16-year-old children, with higher incidence in children between 12-16 years of age 2. Forearm fractures in older children are difficult to manage as they tend to occur comparatively more proximally and have more tendency of redisplacement even after a successful closed reduction 3,4.Hence in management of such cases requires internal fixation with devices such as TENS.There are various methods of management of fractures in both bones of forearm in children.Historically, gold standard of management of forearm shaft fractures in Abstract Introduction:Forearm fractures are common injuries in children.In children, their management is difficult due to high chances of re-displacement after closed reduction. Aim:The aim of present study was to assess the clinical and radiological outcome of managing paediatric forearm fractures using TENS with special reference to movements at wrist, elbow, forearm and time taken for radiological union. Materials and Methods:A total of 30 patients in the age group 5 to 15 years with fractures in both bones of forearm were managed by internal fixation using TENS and prospective follow-up were done for six months. Results:On final evaluation in terms of symptoms and range of motion of adjacent joints using Andersons criteria, Price criteria and union time for results, we had excellent outcomes in 90% patients and good in 10% of total patients.There were no significant complications except for superficial pin tract infections at entry site of nail in only 10% of patients. Conclusion:We conclude that all potentially unstable and grossly displaced fractures of forearm shaft in children should be approached surgically and treated with TENS as it is an effective and minimally invasive method of fixation of forearm fractures with excellent results in terms of bony union and functional outcomes with minimal complications.